As of Sunday, December 18, 2022, Jefferson Surgical Clinic (JSC) physicians and staff are employed by Carilion Clinic.

JSC and Carilion share the same philosophy about the practice of medicine. As a patient, you’ll receive the same care and compassion from your surgical provider. Also, you’ll have access to additional resources including MyChart, a secure online health management tool, and easy connections to many specialty services through an electronic medical record system.

If you have questions regarding an upcoming appointment, you can continue to reach your care team at (540) 283-6000..

The patient portal is no longer active due to system changes. You are able to pay your account balance using the “Bill Pay” button below instead of calling. For account questions, you may still call (540) 283-6070.


For those who experience persistent ear infections or fluid build-up, ear tubes may be necessary. An ear tube is then inserted to help equalize pressure and drain any fluid that has become trapped behind the eardrum. The tubes typically fall out within the next year on their own. Ear tubes are surprisingly more often placed in in adults than in children as ear blockage and fluid becomes more common with age and allergies.

What to expect

This is a procedure than takes less than a minute per ear. The ear will be examined with a microscope, and a small drop of numbing medicine will be placed on the eardrum and a tiny opening will be created. The tube will be placed, and the procedure will be complete. There is no pain afterward and most patients can’t tell the tube is there, other than relief of ear pressure. Dr. Zachmann will monitor the ear tube until it comes out to be sure you don’t need another one.

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